If you have not read our Faculty Study Policies and Procedures, please do so now before completing the application form.

PERSONAL INFORMATION:

FIRST NAME:
LAST NAME:
SSN#:
DEPARTMENT:
CAMPUS ADDRESS:
CAMPUS PHONE:
E-MAIL:

UTK FACULTY STATUS:

Job Title:

Status:

UTK Faculty Member (Tenured) UTK Faculty Member (Untenured - Tenure Track) UTK Faculty Member (Untenured - Not Tenure Track) UTK Faculty Member Emeritus Other - Please explain below

FLOOR DESIRED:

FIRST CHOICE: Third Floor Fourth Floor Fifth Floor Sixth Floor

SECOND CHOICE: None Third Floor Fourth Floor Fifth Floor Sixth Floor

THIRD CHOICE: None Third Floor Fourth Floor Fifth Floor Sixth Floor

CALENDER DATES STUDY IS NEEDED:

EXAMPLE: August 10, 1997 - December 20, 1997

TIME OF DAY STUDY WILL BE UTILIZED MOST:

EXAMPLE: 9am - 2pm Monday - Thursday

PERSONAL EQUIPMENT AND MATERIALS:

Please list in the box below any personal equipment or materials you intend on leaving in your study. Note that the University of Tennessee Libraries is not responsible for such personal items.

DESCRIPTION OF LIBRARY RESEARCH:

Please describe in the box below the specific nature of your library research, explaining the importance of the assignment of a Faculty Study in the Hodges Library.

EXAMPLE: I am under contract to produce a monograph on __________; work on an article in progress to be submitted to __________; editing The Journal of __________; research for paper to be delivered at __________ conference; development of new cour se __________; and so on.